| NPI | 1730584897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER L TUELLER Secretary 208-207-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251G00000X Hospice Care, Community Based (Licence: AZ HSPC5656) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2025-01-16 |